Dr NATHAN DOUGLAS BENNION is a male medical professional, specializing in Physician Assistant. He graduated in 2018.
POUDRE VALLEY MEDICAL GROUP LLC
2767 JANITELL RD
COLORADO SPRINGS
CO
809064102
Tel: 7193652888
| Npi | 1912476292 |
| Pac Id | 2264777846 |
| Professional Enrollment Id | I20181231001840 |
| Last Name | BENNION |
| First Name | NATHAN |
| Middle Name | DOUGLAS |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | POUDRE VALLEY MEDICAL GROUP LLC |
| Group Practice Pac Id | 9638208549 |
| Number Of Group Practice Members | 1002 |
| Line 1 Street Address | 2767 JANITELL RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 809064102 |
| Phone Number | 7193652888 |
| Hospital Affiliation Ccn 1 | 060022 |
| Hospital Affiliation Lbn 1 | UCH-MEMORIAL HEALTH SYSTEM |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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